Menstruation delayed by 9 days. Urine test negative for pregnancy. Could it be ectopic pregnancy?

Patient's question:

Menstruation delayed by 9 days. Urine test negative for pregnancy.

Doctor's answer:

A delayed menstrual period could be due to pregnancy or menstrual irregularities. If there has been recent sexual activity, combined with a missed period, pregnancy is a possibility. Even ectopic pregnancy can be detected with a test. However, the accuracy of the test is generally higher after one week, as early detection may not yield reliable results.
It is recommended to wait two more days for a retest, as ectopic pregnancy can also be identified.

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